Could I Be Pregnant? Symptoms and Concerns in Gynecology

Is it possible to get pregnant this way?

On September 3, 2008, I accidentally touched my vaginal opening with fingers that had semen on them.
My period did not come in September (from the 12th to the 17th).
Subsequently, I had my period from October 9-17, November 12-20, December 16-23, and January 17-22.
However, the flow was light or almost absent on the second and third days of both December and January.
On January 22, my period stopped, but I experienced mild abdominal pain from the 23rd to the 25th.
This month, my period is due but has not arrived yet (one day late).
On February 12 and 13, I noticed a small amount of brown discharge.
Today, I visited a gynecologist and had an ultrasound, but they did not confirm pregnancy (does that mean I am not pregnant?).
They only mentioned that I have a retroverted uterus and possibly mild endometriosis.
Could this be related to my missed period and the decreased flow?

Guo Xiansheng, 20~29 year old female. Ask Date: 2020/02/21

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is likely that you are not pregnant; observation is sufficient.
Wishing you good health.

Reply Date: 2020/02/21

More Info

Based on the information provided, it seems that you are experiencing a range of symptoms and concerns regarding your menstrual cycle and the possibility of pregnancy. Let's break down the situation and address your questions.

Firstly, it is important to understand that the menstrual cycle can be influenced by various factors, including hormonal changes, stress, and physical health. The fact that you have had regular menstrual cycles in the past, followed by some irregularities, could be indicative of several things. The presence of light or brownish discharge, especially if it occurs before your expected period, can sometimes be a sign of implantation bleeding, which occurs when a fertilized egg attaches to the uterine lining. However, it can also be a normal variation in your cycle or related to hormonal fluctuations.

Regarding your concern about the potential for pregnancy due to the incident with your boyfriend's fingers, it is important to note that while the risk of pregnancy from such contact is low, it is not impossible. Sperm can survive on fingers and potentially lead to pregnancy if they come into contact with the vaginal canal. However, since you have had a negative pregnancy test and an ultrasound that did not indicate pregnancy, it is likely that you are not pregnant.

The symptoms you are experiencing, such as mild abdominal pain and changes in menstrual flow, could be related to several factors. The mention of a retroverted uterus (tilted uterus) and possible endometriosis could explain some of the discomfort and changes in your menstrual cycle. Endometriosis can cause pain and irregular bleeding, and it is a condition where tissue similar to the lining of the uterus grows outside of it. This can lead to symptoms like pelvic pain, especially during menstruation, and can sometimes affect menstrual flow.

If your menstrual cycle is late or irregular, it is advisable to monitor your symptoms closely. If you continue to experience changes in your cycle, increased pain, or other concerning symptoms, it would be wise to follow up with your gynecologist. They may recommend further evaluation or treatment options based on your specific situation.

In summary, while the risk of pregnancy from the described incident is low, it is essential to consider all factors affecting your menstrual health. The changes in your cycle and symptoms could be related to hormonal fluctuations, stress, or underlying conditions like endometriosis. Regular follow-ups with your healthcare provider will help ensure that any potential issues are addressed and managed appropriately. If you have further concerns or if your symptoms worsen, do not hesitate to seek medical advice. Your health and peace of mind are paramount.

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